Emotion regulation strategies in bipolar disorder: A systematic and critical review

Dodd, Alyson, Lockwood, Elizabeth, Mansell, Warren and Palmier-Claus, Jasper (2019) Emotion regulation strategies in bipolar disorder: A systematic and critical review. Journal of Affective Disorders, 246. pp. 262-284. ISSN 0165-0327

[img] Text
Emotion regulation.pdf - Accepted Version
Restricted to Repository staff only until 18 December 2019.
Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0.

Download (426kB)
Official URL: http://dx.doi.org/10.1016/j.jad.2018.12.026

Abstract

Background
Theoretical frameworks emphasise associations between interpretations and responses to affect and bipolar disorder (BD). This review (PROSPERO CRD42016043801) investigated which emotion regulation (ER) strategies have been applied to BD, are elevated in BD compared to clinical and non-clinical controls, and are associated with clinical and functional outcomes in BD

Methods
Search terms relating to emotion regulation, coping and bipolar disorder were entered into Embase, MedLine and PsycInfo. Quantitative studies investigating relationships between ER strategies and BD were eligible for this narrative synthesis

Results
A large volume of research (n = 47) investigated specific ER strategies in BD. Maladaptive strategies such as rumination and dampening were elevated in BD compared to controls and these particular strategies had a detrimental impact on outcomes such as mood symptoms. BD had a similar profile of ER strategies to unipolar depression, but there was limited comparison to other clinical groups. People with BD did not generally have deficits in using adaptive strategies, as evidenced by comparisons with controls and experimental studies

Limitations
Methodological heterogeneity and a lack of ecologically valid ER assessments

Conclusions
Empirical literature is critiqued in line with contemporary theories of BD and of emotion regulation more generally, in order to inform future research recommendations. This includes investigation of the importance of context in the impact of ER strategies, and discrepancies between trait and state use of ER strategies, particularly through experience sampling.

Item Type: Article
Uncontrolled Keywords: Bipolar disorder, Emotion regulation, Response styles, Mania, Depression, Rumination
Subjects: C800 Psychology
Department: Faculties > Health and Life Sciences > Psychology
Depositing User: Becky Skoyles
Date Deposited: 03 Jan 2019 13:12
Last Modified: 12 Oct 2019 11:15
URI: http://nrl.northumbria.ac.uk/id/eprint/37448

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics


Policies: NRL Policies | NRL University Deposit Policy | NRL Deposit Licence